BEFORE INTERVENTION

Question 1

What are the specific tools, instruments, or techniques used in the evaluation process?

Answer 1

ROM 
Strength 
Sensibility testing 
Endurance 
Dexterity 
Work

Question 2

Evaluation

Answer 2

process of gathering data

formation of hypothesis and make decisions

Question 3

Purpose of Evaluation

Answer 3

establish goals, prove intervention is working, ADL/Independent Living Status, document need for specific programs, facilitate education/vocational goals, and substantiates the insurance

Question 4

Where does the evaluation process start?

Answer 4

Usually with an occupational profile

Question 5

Occupational Profile

Answer 5

occupational history and experiences
Pattern of daily living
interests 
values 
needs

Question 6

What do we get as the result of the occupational profile?

Answer 6

Understanding the patient’s perspective

Question 7

What is the most common frame of reference is most commonly used in ortho?

Answer 7

Biomechanical Frame of Reference

Question 8

Analysis of occupational performance

Answer 8

select appropriate assessment, select appropriate outcome measures, interpret measurement data, hypothesis (strengths and weaknesses), make goals in collaboration with the patient, and develop the intervention strategies based off of goals

Question 9

Bottom-up approach

Answer 9

Looking at impairment area first

Question 10

Evaluation: History

Answer 10

demographics
age
hand dominance
occupation
avocations (sports, hobbies, leisure activities)
injury and specific history regarding it
location/mechanism of injury (time/date, previous treatment, and surgery)
history of illness
general health
other illnesses
allergies to medication

Question 11

Questions to ask during goal-oriented history

Answer 11

What is the patient unable to do now that they could do before?
What is the impact of the injury on the patient’s family, economy, and social impact?
What does the patient want from surgery?

Question 12

When do our observations begin?

Answer 12

As soon as the patient enters the room or when you enter the room

Question 13

Special Assessment Tests for Ortho

Answer 13

Hawkins Test – Shoulder

Watson Test – Wrist

Question 14

Biomechanical Assumptions

Answer 14

1. Purposeful activity can treat loss of ROM, strength, endurance
2. Once regained, client will automatically regain function
3. Rest and Strength to heal structures and to regain ROM
4. Suited for persons with intact CNS, must perform smooth, isolated motion.

Question 15

Why do we evaluate?

Answer 15

Establishes baseline
Determines limitation
Set treatment goals
Determine treatment results and outcomes

Question 16

Intervention

Answer 16

Prognosis
Goals/outcomes
Interventions by other professionals 
OT intervention
Rationale